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Orthopedic Services

Florida Medicaid’s Covered Services and HCBS Waivers

Orthopedic Services

Medicaid reimburses for orthopedic services to provide procedures for the correction or prevention of deformities, disorders, and injuries of the skeleton and associated structures.

Medicaid reimburses for orthopedic services including:

  • Arthrodesis
  • Osteotomy
  • Percutaneous augmentation and annuloplasty
  • Spinal instrumentation
  • Surgery of the musculoskeletal system
  • Surgery of the back and flank
  • Surgery of the spine
  • Treatment of fractures and dislocations
  • Vertebroplasty

This service is one of the minimum covered services for all Managed Medical Assistance plans serving Medicaid enrollees.

Eligibility

Florida Medicaid recipients requiring medically necessary orthopedic services.

Resource Information

Information on Medicaid health plans and services is available on the Statewide Medicaid Managed Care webpage.

The Florida Medicaid coverage policies, fee schedules, and Rule are available on the Agency Website.